| NPI | 1033150891 |
|---|---|
| Doing Business As | ADVANCE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | BRUCE DOVIN PIC 573-722-3562 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MO 2009002322) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2016-04-11 |